Spirometer: measures an individual’s pulmonary functio
- Allows you to record lung volume measurements
– Generates a graph (spirogram) to analyze the efficiency of an individual’s lung function. - Here, we analyze the spirogram of an average adult male
y-axis = volume (liters) → spirograms record air volume (between 0 – 6 liters)
x-axis = time (seconds) → spirograms record over time.
Key Values and Spirogram Analysis:
Tidal volume (TV):
Volume of air inspired during quiet breathing → 0.5 liters
Inspiratory reserve volume (IRV):
Forced inhalation → 3.0 liters
Maximal (peak) inspiration
= 6.0 liters lung volume
Expiratory reserve volume (ERV):
The volume of forceful exhalation → 1.0 liter
Maximal expiration
= 1.5 liters lung volume
Residual volume (RV):
The volume of air still in the lungs after maximal expiration
Lung capacity = sum of two or more lung volumes
Vital capacity (VC): The difference between maximal inspiration and maximal expiration.
VC = TV + IRV + ERV
Total lung capacity (TLC): the total volume of air that the lungs can hold.
TLC = VC + RV
Inspiratory capacity (IC): the maximum volume of air that the lungs can inspire.
IC = IRV +TV
Functional residual capacity (FRC): the volume that remains in the lungs after a single quiet breath.
FRC = ERV + RV
Pulmonary Ventilation and Alveolar Gas Exchange:
Conducting portion:
Trachea → left, right bronchi → terminal bronchioles
- Only air conduits, do not participate in gas exchange.
- This is the anatomic dead space*
- Gas exchange primarily occurs in the respiratory bronchioles and alveoli.
Healthy Lungs vs. Emphysema
Healthy lungs:
Physiologic dead space = anatomic dead space.
Emphysema:
Physiological dead space > anatomic dead space.
- Lungs lose elasticity → insufficient recoil → air is trapped in lungs, unable to be exhaled
- Air now part of the physiologic dead space *
- Increase in RV (volume of air remaining in the lungs after maximal expiration)
- Decrease in vital capacity.
- Individuals have “barrel chest” → accommodates increased RV
